| Post-Intubation
Granuloma of the Larynx |
| 기관내삽관 후 발생한 후두육아종 |
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배정인 |
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| Abstract |
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Post-intubation granuloma of
the larynx is a rare complication.
Post-intubation granuloma are associated with direct mechanical irritation of laryngeal mucosa from trauma; prolonged period of endotracheal intubation; multiple intubation; endotracheal movement. This study was performed retrospectively to evaluate symptom; location of lesion; treatment and prevention of the intubation granuloma.
The patients aged from 26 to 64 years old. The male to female ratio was 3:12 in favor of female; predominantly female. The location of lesion was bilateral(4 cases) and unilateral(left side 2 cases; right side 9 cases). The clinical symptom was hoarseness and dyspnea. The peak duration between endotracheal intubation and symptom development was 4 weeks. Duration of endotracheal intubation was 1 hour in 2 cases; 1-3 hours in 9 cases; 3 -6 hours in 1 case; hours in 1 case; more than 3 days in 2 cases. 2 cases were recurred.
To remove post-intubation granuloma of the larynx; all patients were administered triflupro-mazine(Veprin®); nalbuphine hydrochloride and glycopyrrolate intramuscular before anesthe-sia-induction 1 hour for premedication. Induction was established with pentothal sodium and succinylcholine after preoxygenation. N20/02(2:l); enflurane and vecuronium chloride were administered for maintenance. ECG; pulse oximeter and ETCO2 were monitored.
To remove the post-intubation granuloma of the larynx; laryngeal irritation and duration of intubation must be minimized.
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| Key Words:
Post-intubation,
Complication, Granuloma. |
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